| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
1,278 |
1,144 |
$55K |
| 93976 |
|
956 |
911 |
$40K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
698 |
698 |
$36K |
| 76536 |
|
609 |
586 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
459 |
448 |
$16K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
174 |
174 |
$10K |
| 76770 |
|
265 |
264 |
$7K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
52 |
52 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
94 |
93 |
$2K |
| 77066 |
Tomosynthesis, mammo |
54 |
54 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$2K |
| 77065 |
Tomosynthesis, mammo |
59 |
56 |
$1K |
| 71250 |
|
29 |
29 |
$1K |
| 93925 |
|
12 |
12 |
$1K |
| 74178 |
|
16 |
16 |
$927.04 |
| 72110 |
|
53 |
53 |
$596.15 |
| 76377 |
|
30 |
28 |
$336.60 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
28 |
28 |
$202.87 |
| 71047 |
|
37 |
36 |
$196.49 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
89 |
89 |
$2.60 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
87 |
86 |
$0.00 |